Witches and Wizards: Fall Prevention

Question 1

consequences of falls

Answer 1

• fear of falls
• loss of confidence, mobility and ability to live independently
• admission to hospital
• eventual institutional relocation
• HIP INJURIES

Question 2

list FRIDS

Answer 2

• benzos (all benzos, doesn’t matter if long or short acting)
• sedatives/hypnotics
• antidepressants
• antipsychs and neuroleptics
• skeletal muscle relaxants
• depends on the study
  
  • loop diuretics
  • anti-htn (but not beta blockers)
  • NSAIDs

BB and narcs are OK

Question 3

falls prevention

Answer 3

• interventions which are multi-modal result in better reduction in falls
• physical mobility
• med management
• educate pts on med fall adrs
  
  • annual med reviews focusing on falls and fall prevention
• educate health care providers on med fall adrs
  
  • develop systematic method for prediciting particularly bad med combos
  • mtm services
• home safety
• environmental safety in community

Question 4

FRIDs fall risk is (additive, more than additive, less than additive(

Answer 4

more than additive